Bruce Lewis, COTA
Individual provider Active NPI Occupational Therapy Assistant · Bridgeport, OH
NPI 1124677794 · NPPES record last updated Sep 6, 2019
Key facts
- NPI
- 1124677794
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA5739 (OH)
- Practice address
- 7 Cross St
Bridgeport, OH 43912-1435 - Phone
- (304) 281-3416
- NPI assigned
- Sep 6, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA5739 | OH | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA5739 | OH | Yes |
Addresses
Primary practice location
7 Cross St
Bridgeport, OH 43912-1435
Mailing address
7 Cross St
Bridgeport, OH 43912-1435
Other providers in Bridgeport, OH
- Debra Jovicic
- Vicki Klatt
- Mary Jo Laroche
- Lazo Family Medicine Inc
- Fausto J Lazo
- Linda L Link
- Rick Link
- Victoria Masters
- Jamie Matkovich
- Sara McGee
All providers in Bridgeport, OH · Occupational Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.